FRED W SMALL JR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026507

License Status

INACTIVE

Business

First Name

FRED W

Last Name

SMALL JR

Business Name

FRED W SMALL JR

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005